Assessment of Traumatic Stress Symptoms During the Acute Posttrauma Period.

Focus (American Psychiatric Publishing) Pub Date : 2023-07-01 Epub Date: 2023-06-28 DOI:10.1176/appi.focus.20230001
Zoe M F Brier, Johanna E Hidalgo, Hannah C Espeleta, Tatiana Davidson, Kenneth J Ruggiero, Matthew Price
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Abstract

A substantial majority of adults in the United States will experience a potentially traumatic event (PTE) in their lifetime. A considerable proportion of those individuals will go on to develop posttraumatic stress disorder (PTSD). Distinguishing between those who will develop PTSD and those who will recover, however, remains as a challenge to the field. Recent work has pointed to the increased potential of identifying individuals at greatest risk for PTSD through repeated assessment during the acute posttrauma period, the 30-day period after the PTE. Obtaining the necessary data during this period, however, has proven to be a challenge. Technological innovations such as personal mobile devices and wearable passive sensors have given the field new tools to capture nuanced in vivo changes indicative of recovery or nonrecovery. Despite their potential, there are numerous points for clinicians and research teams to consider when implementing these technologies into acute posttrauma care. The limitations of this work and considerations for future research in the use of technology during the acute posttrauma period are discussed.

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创伤后急性期创伤应激症状评估。
在美国,绝大多数成年人一生中都会经历一次潜在的创伤事件(PTE)。其中相当一部分人会发展成创伤后应激障碍(PTSD)。然而,如何区分哪些人会患上创伤后应激障碍,哪些人会痊愈,仍然是该领域面临的一项挑战。最近的研究表明,通过在创伤后急性期(即创伤后应激障碍发生后的 30 天内)进行反复评估,识别创伤后应激障碍高危人群的可能性增大。然而,在此期间获取必要的数据已被证明是一项挑战。个人移动设备和可穿戴无源传感器等技术创新为该领域提供了新的工具,可用于捕捉表明恢复或未恢复的细微体内变化。尽管这些技术潜力巨大,但临床医生和研究团队在将这些技术应用于急性创伤后护理时仍有许多问题需要考虑。本文讨论了这项工作的局限性以及未来研究在创伤后急性期使用技术的注意事项。
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